Individual provider · NPI-1

Jennifer Clune

Specialist/Technologist, Athletic Trainer · Bowie, MD

NPI number1285108779
StatusActive
Last updated in NPPESJan 17, 2019

Details

NPI
1285108779
Entity type
Individual (NPI-1)
Name
Jennifer Clune
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 17, 2019
Last updated
Jan 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

13403 Steeplechase Dr
Bowie, MD 20715-4547

Phone 240-460-9624

Mailing address

13403 Steeplechase Dr
Bowie, MD 20715-4547

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